Viral Exanthems

Question 1

aka: Rubeola

Answer 1

measles

Question 2

cough, conjunctivitis, coryza (runny nose), high fever, seizures
+ koplik spots

Answer 2

measles

Question 3

Rash begins 2-4 days after symptoms development. Red patches starting on face, rapidly spreading to chest, back, arms, legs

Answer 3

measles - koplik spots seen before rash

Question 4

minimal pres; fever, HA, fatigue, sore throat, rhinorrhea, muscle pain, lymphadenopathy**.

Answer 4

Rubella
aka: German Measles

Question 5

2-3 weeks after initial infection, rash develops. Red-pink colored spots and bumps start on face and neck then rapidly spreads to chest, back, arms and legs. Rash resolved 1 3 days.

Answer 5

Rubella
aka: German Measles

Pregnant women who get rubella = miscarriage.

Question 6

Blister-like rash (vesicular) , itching*, tiredness, fever.

Answer 6

Varicella
aka: chickenpox

Question 7

3 phases of varicella rash

Answer 7

Erythematous papules which break out over several days.
Vesicular rash, form in one day then break and leak.
Crusts and scabs (No longer contagious).

Question 8

1st: fever (not always), HA, fatigue.
* 2nd: second week, rash that is bright red macular over the cheeks followed by a lacy, reticulated rash on the chest, back, arms, and legs. Fades over 2-3 weeks

Answer 8

5th Disease
aka: Erythema infectiosum, “Slapped cheek”

Question 9

Cause: parvovirus B19

Rash may reoccur with exposure to sunlight, warm
temperatures.
Pregnant woman = miscarriage!

Answer 9

5th Disease
aka: Erythema infectiosum, “Slapped cheek”

Question 10

1st: high fever (101-106 F) lasting 3-5 days**
2nd: Rash appears after fever subsides. Multiple pink-red colored spots and bums on the chest and back, spreading to arms, legs, neck and face.
Other symptoms: irritability diarrhea, cough, lymphadenopathy, facial swelling. Nagayama spots.

Answer 10

Roseola
aka: exanthem subitem, 6th disease.

Question 11

Cause: herpesvirus (HHV) type 6 or 7.

• Child can go back to school once fever is gone for 24
  hrs., even if rash has appeared.

Answer 11

Roseola
aka: exanthem subitem, 6th disease.

Question 12

A child is brought by his mother to your office with a pink rash that first appeared on the face and then made its way down the trunk and extremities

Answer 12

Rubeola - aka measles

Question 13

1st Fever, malaise, abdominal pain.
* 2nd: Rash with multiple gray-white vesicles on palms, soles, buttocks, occasionally the face. Painful blisters oral mucosa
* Cause: most common coxsackievirus A16.
* Attention: poor oral intake, dehydration!

Answer 13

hand- foot- mouth